Organization Active NPI

Lawrence H. Resnick, M.D. a Prof Corp

  • Mobile Mammography Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1316266216
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Mammography Clinic/CenterTaxonomy code 261QR0207X
Legal business name
LAWRENCE H. RESNICK, M.D. A PROF CORP
Practice address
2901 Wilshire Blvd
Suite 319
Santa Monica, CA 90403-4901
Phone
(310) 829-2931
Fax
(310) 453-9226
NPI assigned
May 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lawrence H Resnick, M.D.NPI 1942269469
Title
President
Phone
(310) 829-2931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Mammography Clinic/Center 261QR0207X Primary

Addresses

Primary practice location

2901 Wilshire Blvd
Suite 319
Santa Monica, CA 90403-4901

Mailing address

2901 Wilshire Blvd
Suite 319
Santa Monica, CA 90403-4901
Phone (310) 829-2931

Other names 1

  • Woman's Breast Center-Mobile Other name

National Provider Directory

National Provider Directory

Locations

2901 Wilshire Blvd
Ste 325
Santa Monica, CA 90403
Phone (310) 829-2931

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1316266216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 WILSHIRE BLVD",
            "address_2": "SUITE 319",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034901",
            "telephone_number": "310-829-2931",
            "fax_number": "310-453-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 WILSHIRE BLVD",
            "address_2": "SUITE 319",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034901",
            "telephone_number": "310-829-2931",
            "fax_number": "310-453-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE H. RESNICK, M.D. A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "RESNICK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-829-2931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woman's Breast Center-Mobile",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.